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  1. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
    January 01, 2022 - Describe the risk to patients with latex allergy from contact with latex products in the hospital and operating … References 31 30.Lagier F, Vervloet D, Lhermet I, Poyen D, Charpin D: Prevalence of latex allergy in operating
  2. psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
    November 13, 2024 - The patient was taken immediately to the operating room and was found to have diffuse peritonitis secondary … and mortality, enhanced communication, decreased adverse events, and improved adherence to hospital operating
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33603/psn-pdf
    September 15, 2024 - ://psnet.ahrq.gov/primer/surgical-site-infections https://hcup-us.ahrq.gov/reports/statbriefs/sb281-Operating-Room-Procedures-During-Hospitalization
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72517/psn-pdf
    November 25, 2020 - They took her to the operating room (OR) together for suspected necrotizing fasciitis.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43970/psn-pdf
    May 19, 2015 - Organisational reporting and learning systems: innovating inside and outside of the box. May 19, 2015 Sujan M, Furniss D. Organisational reporting and learning systems: Innovating inside and outside of the box. Clin Risk. 2015;21(1):7-12. doi:10.1177/1356262215574203. https://psnet.ahrq.gov/issue/organisational-re…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34995/psn-pdf
    February 03, 2011 - The Research on Adverse Drug Events and Reports (RADAR) project. February 3, 2011 Bennett CL, Nebeker JR, Lyons A, et al. The Research on Adverse Drug Events and Reports (RADAR) project. JAMA. 2005;293(17):2131-40. https://psnet.ahrq.gov/issue/research-adverse-drug-events-and-reports-radar-project This article su…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61001/psn-pdf
    October 07, 2020 - The Economics of Patient Safety Part III: Long-term Care: Valuing Safety for the Long Haul. October 7, 2020 de Bienassis K, Llena-Nozal A, Klazinga N for the Organisation for Economic Co-operation and Development. Paris, France: OECD Publishing; 2020. OECD Health Working Papers, No. 121. https://psnet.ah…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60064/psn-pdf
    March 18, 2020 - Providing Safe, High-Quality Maternity Care in Rural US Hospitals. IHI Innovation Report. March 18, 2020 Laderman M, Renton M. Boston, MA: Institute for Healthcare Improvement; 2020. https://psnet.ahrq.gov/issue/providing-safe-high-quality-maternity-care-rural-us-hospitals-ihi-innovation- report Maternal care saf…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34771/psn-pdf
    May 06, 2016 - Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. May 6, 2016 Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. ISBN-13: 9781118862414. https://psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition According to Weick and Sutcliffe, high…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841479/psn-pdf
    December 14, 2022 - Fast does not imply flawed: analyzing emergency physician productivity and medical errors. December 14, 2022 Hoot NR, Barbosa TJ, Chan HK, et al. Fast does not imply flawed: analyzing emergency physician productivity and medical errors. J Am Coll Emerg Physicians Open. 2022;3(6):e12849. doi:10.1002/emp2.12849. ht…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38174/psn-pdf
    November 05, 2008 - National Surgical Quality Improvement Program. November 5, 2008 American College of Surgeons. https://psnet.ahrq.gov/issue/national-surgical-quality-improvement-program During the 1980s, the Department of Veterans Affairs (VA) received significant public scrutiny over the quality of surgical care in their hospital…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44597/psn-pdf
    October 28, 2015 - Smarter clinical checklists: how to minimize checklist fatigue and maximize clinician performance. October 28, 2015 Grigg EB. Smarter Clinical Checklists: How to Minimize Checklist Fatigue and Maximize Clinician Performance. Anesth Analg. 2015;121(2):570-3. doi:10.1213/ANE.0000000000000352. https://psnet.ahrq.gov/…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47446/psn-pdf
    October 03, 2018 - Hospital staffing and health care–associated infections: a systematic review of the literature. October 3, 2018 Mitchell BG, Gardner A, Stone PW, et al. Hospital Staffing and Health Care-Associated Infections: A Systematic Review of the Literature. Jt Comm J Qual Patient Saf. 2018;44(10):613-622. doi:10.1016/j.jcj…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46139/psn-pdf
    September 23, 2017 - Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. September 23, 2017 Thomas L, Donohue-Porter P, Fishbein JS. Impact of Interruptions, Distractions, and Cognitive Load on Procedure Failures and Medication Administration Errors. J Nurs Care Qual. 2…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47087/psn-pdf
    May 02, 2018 - The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. May 2, 2018 Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisation for Economic Co-operation and Development; 2018. https://psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind The global eco…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853245/psn-pdf
    September 06, 2023 - Intraoperative communications between pathologists and surgeons: do we understand each other? September 6, 2023 Wiggett A, Fischer G. Intraoperative communications between pathologists and surgeons: do we understand each other? Arch Pathol Lab Med. 2023;147(8):933-939. doi:10.5858/arpa.2020-0632-oa. https://psnet.…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50885/psn-pdf
    February 12, 2020 - Impact of staff turnover during cardiac surgical procedures. February 12, 2020 Bloom JP, Moonsamy P, Gartland RM, et al. Impact of staff turnover during cardiac surgical procedures. J Thorac Cardiovasc Surg. 2019. doi:10.1016/j.jtcvs.2019.11.051. https://psnet.ahrq.gov/issue/impact-staff-turnover-during-cardiac-su…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37298/psn-pdf
    December 14, 2016 - Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous contrast media. December 14, 2016 Gaca AM, Frush DP, Hohenhaus SM, et al. Enhancing pediatric safety: using simulation to assess radiology resident preparedness for anaphylaxis from intravenous c…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37429/psn-pdf
    February 17, 2011 - Outcomes of care by hospitalists, general internists, and family physicians.  February 17, 2011 Lindenauer PK, Rothberg MB, Pekow PS, et al. Outcomes of Care by Hospitalists, General Internists, and Family Physicians. New Engl J Med. 2007;357(25):2589-2600. doi:10.1056/nejmsa067735. https://psnet.ahrq.gov/issue/ou…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44520/psn-pdf
    September 30, 2015 - Patient safety in dermatologic surgery: parts 1 and 2. September 30, 2015 Lolis M, Dunbar SW, Goldberg DJ, et al. J Am Acad Dermatol. 2015;73(1):1-26. https://psnet.ahrq.gov/issue/patient-safety-dermatologic-surgery-part-1-patient-safety-procedural- dermatology-part-2 This two-part review series explores patient s…

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